BMI and its association with patient-reported outcome measures following revision hip surgery.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Baumber Rachel, Mehmood Ahmed, McCulloch Robert, Pereira Snehal M Pinto, Warwick Eleanor, Hart Alister, Moonesinghe S Ramani, PQIP delivery team, PQIP collaborative, PQIP delivery team and collaborative, PQIP Delivery Team, Ramani Moonesinghe S, Wagstaff Duncan, Bedford James, Sahni Arun, McGuckin Dermot, Gilhooly David, Santos Cristel, Wilson Jonathan, Martin Peter, Singleton Georgina, Edwards Kylie, Vindrola-Padros Cecilia, Warnakulasuriya Samantha, Dorey Jenny, Leemans Irene, Martinez Dorian, Lourtie Jose, Baumber Rachel, Dorey Jenny, Swift Andrew, Jackson Alexander, Belete Martha, Warwick Eleanor, Argent Michael, Brooks Rachael, Fulop Naomi, Brent Alexandra, Williams Karen, Grocott Mike, Mythen Monty, Olive Dominic, Taylor Christine, Drake Sharon, Swart Mike, Bougeard Anne-Marie, Bedford Matthew, Vallance Abigail, Singh Pritam, Vohra Ravi, Ignacka Aleksandra, Tucker Olga, Aresu Giuseppe, Cripps Martin, Ellicott Helen, Samuel Katie, Chazapis Maria, Hunt Adam Firth, Lusby Eimhear, Durrand James, Weerasuriya Scott, PQIP Collaborative, Batchelor Anna, Snowden Chris, Murray Dave, Evans Elspeth, Vaux Emma, Abercrombie John, McGhie Jonathan, Dhesi Jugdeep, Clark Tom, Crossley Anna, McGrath John, Digner Marie, Hamilton Mark, Hill Robert, Shinde Samantha, Brett Stephen
Аннотация
METHODS: We analyzed prospectively collected data from patients who consented to participation in the Perioperative Quality Improvement Programme (PQIP) research study. All patients undergoing revision THA from May 2018 to December 2022 were included. Patients were stratified into BMI categories, and outcomes were assessed using the EuroQol five-dimension five-level questionnaire (EQ-5D-5L) at baseline, six, and 12 months postoperatively. Statistical comparisons were performed to evaluate differences in health-related quality of life (HRQoL) between BMI groups.
RESULTS: Higher BMI was associated with lower preoperative EQ-5D scores. However, all BMI groups demonstrated significant postoperative improvement, with the greatest gains observed in patients with a BMI > 40 kg/m2. At six and 12 months, HRQoL improvements were comparable across BMI groups, with no significant difference in long-term outcomes between those living with and without obesity.
CONCLUSION: Despite potentially increased intraoperative risks, high BMI patients experience meaningful functional improvement following revision THA. These findings challenge the rationale for BMI-based surgical restrictions, suggesting that high BMI alone should not be a contraindication for revision THA.